Five-year outcome of laparoscopic and Lichtenstein hernioplasties
Tóm tắt
Background: Laparoscopic hernia repair has been proved superior to open repairs in terms of short-term results, but long-term results of laparoscopic and open mesh repairs have been lacking until recently. Methods: A total of 123 patients were randomly allocated to two treatment groups comparing laparoscopic and Lichtenstein hernioplasties in three separate trials. The first and second trials compared small and large mesh used in transabdominal preperitoneal repairs, and the third study compared totally extraperitoneal hernioplasty with the Lichtenstein operation. A 5-year follow-up visit was scheduled to assess recurrencies, symptoms, and patient satisfaction. Results: For the follow up evaluation, 121 (98.4%) of the patients were reached. There were five hernia recurrences in the laparoscopic group (small mesh) and two in the Lichtenstein group (difference, 5%; 95% confidence interval, −4–13%; p = 0.3). One patient who underwent the transabdominal preperitoneal polypropylene procedure underwent reoperation 3 years later because of dense small bowel adhesions at the inguinal surgical site. Chronic groin pain was more common after open operation (0 vs 4) patients (difference 7%; confidence interval, −0.4–16%; p = 0.04). Ten patients (16%) in the laparoscopic group and 12 (20%) in the open group reported discomfort or pain at the surgical site. Conclusions: Both laparoscopic and Lichtenstein hernioplasties have a low risk for hernia recurrence if proper mesh size is used. The patients who undergo hernioplasty with open mesh hernioplasty seem to experience chronic symptoms and pain more often than those managed with the laparoscopic procedure.
Tài liệu tham khảo
PK Amid AG Shulman IL Lichtenstein (1993) ArticleTitleCritical scrutiny of the open “tension-free” hernioplasty. Am J Surg 165 369–371 Occurrence Handle1:STN:280:ByyC1M7ivFE%3D Occurrence Handle8447547
PK Amid AG Shulman IL Lichtenstein (1995) ArticleTitleAn analytic comparison of laparoscopic hernia repair with open “tension-free” hernioplasty. Int Surg 80 9–17 Occurrence Handle1:STN:280:ByqA1cnjsFA%3D Occurrence Handle7657503
M Bay-Nielsen FM Perkins H Kehlet (2001) ArticleTitlePain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233 1–7 Occurrence Handle1:STN:280:DC%2BD3M3pvFCksw%3D%3D Occurrence Handle11141218
S Bringman P Blomquist (2003) ArticleTitleIntestinal obstruction after inguinal hernia surgery. Ann Surg . .
S Bringman S Ramel TJ Heikkinen T Englund B Westman B Anderberg (2003) ArticleTitleTension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg 237 142–147 Occurrence Handle10.1097/00000658-200301000-00020 Occurrence Handle12496542
EH Collaboration (2000) ArticleTitleLaparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials. Br J Surg 87 860–867 Occurrence Handle10931019
EH Collaboration (2000) ArticleTitleMesh compared with nonmesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg 87 854–859 Occurrence Handle10931018
EHT Collaboration (2002) ArticleTitleRepair of groin hernia with synthetic mesh: metaanalysis of randomized controlled trials. Ann Surg 235 322–332 Occurrence Handle10.1097/00000658-200203000-00003 Occurrence Handle11882753
EL Felix CA Michas MH Gonzalez Jr (1995) ArticleTitleLaparoscopic hernioplasty: TAPP vs TEP. Surg Endosc 9 984–989 Occurrence Handle1:STN:280:BymD2snlslY%3D Occurrence Handle7482218
GS Ferzli EE Frezza AM Pecoraro Jr KD Ahern (1999) ArticleTitleProspective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair [see comments]. J Am Coll Surg 188 461–465 Occurrence Handle10.1016/S1072-7515(99)00039-3 Occurrence Handle1:STN:280:DyaK1M3kvFKmsw%3D%3D Occurrence Handle10235572
S Haapaniemi U Gunnarsson P Nordin E Nilsson (2001) ArticleTitleReoperation after recurrent groin hernia repair. Ann Surg 234 122–126 Occurrence Handle10.1097/00000658-200107000-00018 Occurrence Handle1:STN:280:DC%2BD3MzlvFCisQ%3D%3D Occurrence Handle11420492
T Heikkinen K Haukipuro J Leppala A Hulkko (1997) ArticleTitleTotal costs of laparoscopic and Lichtenstein inguinal hernia repairs: a randomized prospective study. Surg Laparosc Endosc 7 1–5 Occurrence Handle1:STN:280:ByiC1cjos1A%3D Occurrence Handle9116938
TJ Heikkinen K Haukipuro A Hulkko (1998) ArticleTitleA cost and outcome comparison between laparoscopic and Lichtenstein hernia operations in a day-case unit: a randomized prospective study [see comments]. Surg Endosc 12 1199–1203 Occurrence Handle1:STN:280:DyaK1cvislSqug%3D%3D Occurrence Handle9745056
TJ Heikkinen K Haukipuro P Koivukangas A Hulkko (1998) ArticleTitleA prospective randomized outcome and cost comparison of totally extraperitoneal endoscopic hernioplasty versus Lichtenstein hernia operation among employed patients. Surg Laparosc Endosc 8 338–344 Occurrence Handle1:STN:280:DyaK1M%2FhtlCrtg%3D%3D Occurrence Handle9799140
YS Khajanchee DR Urbach LL Swanstrom PD Hansen (2001) ArticleTitleOutcomes of laparoscopic herniorrhaphy without fixation of mesh to the abdominal wall. Surg Endosc 15 1102–1107
MS Liem JA Halsema Y van der Graaf AJ Schrijvers TJ van Vroonhoven (1997) ArticleTitleCost effectiveness of extraperitoneal laparoscopic inguinal hernia repair: a randomized comparison with conventional herniorrhaphy. Coala Trial Group. Ann Surg 226 668–675 Occurrence Handle1:STN:280:DyaK1c%2Fnt1ahtg%3D%3D Occurrence Handle9409566
MS Liem EB van Duyn Y van der Graaf TJ van Vroonhoven (2003) ArticleTitleRecurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison. Ann Surg 237 136–141 Occurrence Handle10.1097/00000658-200301000-00019 Occurrence Handle12496541
BJ Ramshaw JG Tucker T Conner EM Mason TD Duncan GW Lucas (1996) ArticleTitleA comparison of the approaches to laparoscopic herniorrhaphy. Surg Endosc 10 29–32 Occurrence Handle10.1007/s004649910006 Occurrence Handle1:STN:280:BymB28znsl0%3D Occurrence Handle8711601
JF Tschudi M Wagner C Klaiber JJ Brugger E Frei L Krahenbuhl R Inderbitzi J Boinski SF Hsu Schmitz J Husler (2001) ArticleTitleRandomized controlled trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice repair. Surg Endosc 15 1263–1266 Occurrence Handle1:STN:280:DC%2BD3MnotV2lsg%3D%3D Occurrence Handle11727130
D Wright C Paterson N Scott A Hair PJ O’Dwyer (2002) ArticleTitleFive-year follow-up of patients undergoing laparoscopic or open groin hernia repair: a randomized controlled trial. Ann Surg 235 333–337 Occurrence Handle10.1097/00000658-200203000-00004 Occurrence Handle11882754